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Clinical Study

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A Clinical
Study on New Hair Biofactors®
Performed by:
A.J. Farmilo, Ph.D.
M.A. Stratis, R.T.
H.L. Minuk, M.D. F.R.C.P.(C) A.B.I.M
Published in the Medical Post Vol. 29 pg 61 August 24,
1993
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Summary
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One-hundred
and forty-eight participants with varying degrees of
male pattern baldness (androgenic alopecia)
participated in an open-ended study using an all
natural compound solution to determine the effects
of hair regrowth.
The participants were photographed and initial
hair counts were done in a 2.5 cm diameter area of
their balding scalp. After five months of treatment,
the participants were re-photographed and hair
counts were done on the same 2.5 cm diameter area of
the scalp. The results indicate that 85.7% of the
men in the study had an increase in their terminal
hairs of 30% or greater. When evaluating the percent
increase more closely, we find that we can break the
data down into three separate groups:
1. Significant regrowth
2. Moderate regrowth
3. No change
Showing significant regrowth was 40.8% of the
study group and had an increase of 100% or greater
(doubling, tripling, or more) of terminal hairs
counted on their five month post-treatment photo as
compared to their initial pre-treatment photo. Of
this group, the highest increase of hairs was 472%,
and the lowest increase was 102% with the mean at
193.7% increase of hairs.
The group of men showing moderate
regrowth, which
we classed as 30%-100% increase in terminal hair
regrowth, was 44.9% of the study group. The mean
increase of that group was a 61.5% increase of hair
regrowth.
The remainder of the group, classed as no change,
was 14.3% of the study group, with an average of
6.7% increase in regrowth.
Participants were told to use at least one bottle
per month (five bottles in five months) but were
allowed to use more if desired. We did not see any
significant advantage to using more than one bottle
per month. Our conclusion is that the stimulatory
effect of the compound is achieved at the use rate
of one bottle per month.
The age range of the participants in the ability
to regrow hair was not a factor. The range of the
participants in this study was 24-68 years old, with
the average age being 38.7 years.
In summary, this study concludes that the natural
herbal extract solution has a stimulatory effect on
hair growth for at least 8 out of 10 men with
androgenic alopecia (balding). The earlier stages of
balding appear to respond to a higher degree, but
significant improvement was seen in participants at
all stages of baldness. There appears to be an
optimum rate of use of the product, and age does not
seem to be a factor in response.
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Introduction
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Hair performs no vital function relative to the
medical well being of humans. Yet the psycho-social
implications can never be underestimated. Scalp hair
can be the crowning glory for the femininity of
women and a potent symbol of masculinity and
security in men.
Reversal of male pattern baldness in men has for
centuries eluded science and medicine. Minoxidil
(commonly known as Rogaine) and Diazoxide have shown
in past studies to reverse balding in men, although
in only small percentages of the patients studied.
This study demonstrated the safety and efficacy
of a natural compound solution to stimulate hair
growth. The solution is coupled with a treatment
regimen which includes scalp cleansing and proper
scalp massaging.
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Patients and Methods
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One hundred and sixty four males with male
pattern baldness from the greater Toronto area were
studied at the hair clinic. After informed consent
and observing past medical histories and years of
balding, the men were selected. Patients that were
using any form of cortico-steroids, cytotoxic agents, or
any other form of hair regrowth agent, like Minoxidil,
were excluded from the study.
It was decided to run an open-ended study. All
men were instructed and shown very carefully how to
use the specially formulated scalp cleanser and all
natural compound solution. Once this was handled,
all the men were photographed with a high resolution
Minolta "instant pro" camera. The room was
brightly illuminated for close examination of the
scalp and individual hairs. The camera was
positioned exactly 25 cm from the balding or
thinning areas with frontal, top, and rear pictures
taken as needed. The participants were asked to wait
for the picture to develop and sign their respective
photos.
Administration and Dosage
The all natural compound solution was supplied at
no charge to the participants. Each person received
250 ml of the alcohol based all natural compound
solution along with 250 ml of a specially formulated
deep scalp cleanser. They were all individually and
carefully instructed on the proper usage of both the
scalp cleanser and the all natural compound
solution.
Evaluation and Assessment Grading
The photos taken prior to the treatment were
closely evaluated. Before the treatment was
initiated, a 2.5 cm circle in diameter was drawn in
the balding area, always very near the border of the
area demonstrating the most significant hair loss.
Initial hair counts were done using a 4X magnifying
lens mounted on a circular fluorescent lamp.
Independent counts were made by two of us (MS and
AJF), times 2, and the average of the two counters
was used for statistical purposes. The hairs in the
2.5 cm area were counted, including hairs on the
circular boundary. The final counts on the
participants were done after five (5) months on the
treatment program. The same criteria from the
initial photograph was used to determine the exact
location of the 2.5 cm area on the scalp and the
same procedure was used to count hair roots within
and on the boundary of the inscribed circular area.
At the conclusion of the five (5) month treatment
program, the photos were graded under the following
categories: A zero (0) grading was given to the
photos that revealed no change from their initial
pre-treatment photo. A grading of one (1) was given
to the participants with moderate regrowth of hair
from their respective original photos. And a grading
of two (2) was assigned to the men with a
significant regrowth of hair from their original
photos.
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Results
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Of the one-hundred and sixty-four participants
starting the study, eleven were eliminated because
of their repeated absence from photo sessions and
failure to use the product. Four were eliminated due
to their irregular use of both the scalp cleanser
and the all natural compound solution, and one
person was discontinued because he relocated to
another country. The remainder of the 148
participants applied the all natural compound
solution at least twice daily for the five months as
required for this study.
The regrowth of hair was first noticed on some
participants as early as two months into the
treatment. By the third month, a substantial number
of men demonstrated moderate regrowth; both fine
vellus hairs (peach fuzz) and darker pigmented
intermediate and terminal hairs were observed. It is
noteworthy to mention that the fine vellus hairs,
although visible to the naked eye, were not
detectable by the photos. Thus all of our
quantitative and qualitative assessments were made
from any intermediate and/or terminal hairs.
Criteria for Analysis of Response to All
Natural Compound Solution
The following parameters were used to classify
the magnitude of hair regrowth: Subjects with less
than a 30% increase in intermediate and/or terminal
hairs were counted as no change. The moderate
improvement group we determined were the men that
showed an increase of final hair counts of greater
than 30% and up to a 100% increases of terminal
hairs, in their five month photos as compared to
their original photos. The last group we identified
was the significant increase group. This group
showed the best improvement of all the men in the
study, and we included those with hair count
increases of 100% or greater.
Response of the All Natural Compound Solution
on Baldness
Although the qualitative and quantitative
assessments were done independently, there was a
strong correlation between the two groups. Overall,
88% of the qualitative group showed some degree of
improvement. Of the group studied quantitatively,
85.7% showed a degree of regrowth (within 95%
confidence limits). With the qualitative group, 6 of
50 men were categorized as having no change
(category 0), representing 12% of the total. In the
quantitative group (98 participants), 14 men, or
14.3% did not show any increase in hair counts. The
average hair count increase for this group was 6.7%.
So most subjects in this group did regrow some hair,
but not a noticeable amount.
The moderately improved qualitative group
(category 1) consisted of 16 participants, or 32%.
In the quantitatively studied group, 44 of 98 men
fell into the range of +30% to +100%. This
represents 44.9% of the men. The range of increase
was 32% to 98%, with the mean at 61.5% The
participants showing significant regrowth in the
qualitative group (category 2) were 28 of 50, or
56%. In the quantitatively studied group, the number
of men with significant regrowth (greater than 100%)
was 40 of 98, or 40.8%. These men had hair count
increases of 100% or more. The range of hair count
increases was 102% to 472%, with a mean increase of
194%. The photograph of these men and women showed
significant cosmetic changes which correlates very
well with our quantitative findings.
Pattern of Hair Regrowth
From the photos taken monthly during the course
of the study, a pattern of regrowth was observed in
those participants who demonstrated a significant
increase in hair counts over the five months. The
first countable hairs were seen after 10-12 weeks of
treatment and were first detected on the crown or
vertex of the head. Following further treatment,
hair was then observed regrowing in the margin of
fringe of the thinning or balding areas of the
scalp. Hair regrowth in the fronto-temporal region
of the scalp was noted after 16-20 weeks of
treatment, and this region appeared to be the most
resistant to regrowth to date.
Correlation of Response with Age
The average age of the 176 participants was 38.7
years. The mean ages for their respective groups
were as follows: The no change group was 41.8 years.
The moderate group was 36.7 years. And the
significant group was 38.5 years. The youngest
participant in the study was 24 years old, and the
oldest participant was 68. There was no correlation
between age and response to the treatment.
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Discussion
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This open-ended study has demonstrated the hair
regrowth response of 148 men who have been treated
with an all natural compound solution applied
topically to balding or thinning regions of the
scalp. The treatment program included regular scalp
cleansing with a natural extract scalp cleanser and
application of at least 5-10 ml of the all natural
compound solution at least twice daily. The data
showed that hair counts increased significantly for
approximately 85% of the participants in the five
month period.
The study methodology implies that the results
obtained relate not only to the all natural compound
solution used in the treatment, but also the overall
treatment regimen. From previous Minoxidil (Rogaine)
papers, it was determined by them that a reasonable
expectation for a "placebo-type" effect
was a 10-15% increase in hair counts. Thus, by
setting the cut-off in this study for moderate
regrowth at a 30% increase, any increase due to a
"placebo-type" effect is discounted.
An attempt was made to correlate the response
(either no change, moderate change, or significant
change) with a number of factors. None of the
factors studied gave a strong correlation, although
there were some trends noted. The number of years of
balding or thinning hair did not appear to have any
correlation with the final results. However, it
should be noted that the number of years thinning
was a number given by the participants, and could
not be verified accurately. Thus it is a subject of
assessment and may not be very reliable. To help
balance this uncertainty, the results were grouped.
Regardless of the groupings used, there was no
grouping which demonstrated a significant
correlation with results.
In terms of hair
regrowth, this all natural
compound solution appears to be more effective than
Minoxidil (Rogaine) and has no known side effects. A
study by Alanis showed that a 2% Minoxidil
preparation applied topically increased hair counts
by about 24% after 20 weeks. This study showed an
increase of 89% in the same time period. Because of
the differences in locating the measured regions of
the scalp, these results are not directly
comparable, but in a population study, Alanis's
results showed that 34-46 out of 83 participants
(48%) had no growth after 24 weeks, whereas our
results show only 14 out of 98 (14%) had no growth
after 20 weeks. Thus, our conclusion is that this
product does stimulate regrowth of hair in cases of
androgenic alopecia (balding), and that over 85% of
men will respond favorably to the treatment.
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Figure 3

Figure 4
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Figure 3
- Photo-micrograph of a scalp biopsy demonstrating the
immuno-histochemical localization of DHT (died red) in
the epidermal layer of the scalp.
Figure
4- Photo-micrograph of the same scalp after treatment.
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